Academic Journal
Association of Continuity of Care With Health Care Utilization and Expenditures Among Patients Discharged Home After Stroke or Transient Ischemic Attack
| العنوان: | Association of Continuity of Care With Health Care Utilization and Expenditures Among Patients Discharged Home After Stroke or Transient Ischemic Attack |
|---|---|
| المؤلفون: | Hou, Yucheng, Trogdon, Justin G., Freburger, Janet K., Bushnell, Cheryl D., Halladay, Jacqueline R., Duncan, Pamela W., Kucharska-Newton, Anna M. |
| المصدر: | Medical Care ; volume 62, issue 4, page 270-276 ; ISSN 0025-7079 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health) |
| سنة النشر: | 2024 |
| الوصف: | Objectives: To examine the association of prestroke continuity of care (COC) with postdischarge health care utilization and expenditures. Study Population: The study population included 2233 patients with a diagnosis of stroke or a transient ischemic attack hospitalized in one of 41 hospitals in North Carolina between March 2016 and July 2019 and discharged directly home from acute care. Methods: COC was assessed from linked Centers for Medicare and Medicaid Services Medicare claims using the Modified, Modified Continuity Index. Logistic regressions and 2-part models were used to examine the association of prestroke primary care COC with postdischarge health care utilization and expenditures. Results: Relative to patients in the first (lowest) COC quartile, patients in the second and third COC quartiles were more likely [21% (95% CI: 8.5%, 33.5%) and 33% (95% CI: 20.5%, 46.1%), respectively] to have an ambulatory care visit within 14 days. Patients in the highest COC quartile were more likely to visit a primary care provider but less likely to see a stroke specialist. Highest as compared with lowest primary care COC quartile was associated with $45 lower (95% CI: $14, $76) average expenditure for ambulatory care visits within 30 days postdischarge. Patients in the highest, as compared with the lowest, primary care COC quartile were 36% less likely (95% CI: 8%, 64%) to be readmitted within 30 days postdischarge and spent $340 less (95% CI: $2, $678) on unplanned readmissions. Conclusions: These findings underscore the importance of primary care COC received before stroke hospitalization to postdischarge care and expenditures. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1097/mlr.0000000000001983 |
| DOI: | 10.1097/MLR.0000000000001983 |
| الاتاحة: | http://dx.doi.org/10.1097/mlr.0000000000001983 https://journals.lww.com/10.1097/MLR.0000000000001983 |
| رقم الانضمام: | edsbas.B40BD4BF |
| قاعدة البيانات: | BASE |
| DOI: | 10.1097/mlr.0000000000001983 |
|---|